Traveling Pain Management Doctors PSC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006855 Issued in WA

Legal business name

TRAVELING PAIN MANAGEMENT DOCTORS PSC

Doing business as

Crown Health 'Traveling Doctors'

Practice address

21234 SE 273Rd PL
Maple Valley, WA 98038-3350

Phone

(509) 389-6945

NPI assigned

Mar 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Traci M Mancuso, ARNP

Title

Family Nurse Practitioner

Phone

(509) 389-6945

Specialties & licenses 1

Addresses

Other names 1

• Crown Health 'Traveling Doctors' Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tao Liang

  • Physician Assistant
  • Maple Valley, WA
  • NPI 1255804654
  NPD
• Michelle Ann Rorie, NP

  • Primary Care Nurse Practitioner
  • Bellevue, WA
  • NPI 1841802675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1356682470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21234 SE 273RD PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383350",
            "telephone_number": "509-389-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21234 SE 273RD PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383350",
            "telephone_number": "509-389-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING PAIN MANAGEMENT DOCTORS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "509-389-6945",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Health 'Traveling Doctors'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pauline Elaine Toomb, COTA/L
• Jana Brooks Toomey
• Jessica Bidory Torres Madrid, MA, BCBA
• Misty Dawn Torres, LMHCA
• Christine Tran, DDS
• Traveling Wellness PS
• Todd Tuttle, MS CCCSLP
• Kirstin Uchida, PT
• Jeffrey Unger, PHARM D
• Brenda Lee Upton, DC

• Family Nurse Practitioner in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.